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1871829135
ALEXIS D SHIELDS
PORTLAND, OR
NPI
1871829135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175F00000X Naturopath
(Licence: OR 1699)
Enumeration Date
2009-10-21
Last Update Date
2009-10-21
Business Address
-- ALEXIS D SHIELDS ND
7817 SE STARK ST
PORTLAND, OR 97215-2339
Phone number: 317-408-2959
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Mailing Address
-- ALEXIS D SHIELDS ND
1538 SE 86TH AVE
PORTLAND, OR 97216-1338
Phone number: 317-408-2959
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